Involves intense, recurrent and sexually arousing fantasies involving the exposure of the individual's genitals. This may, in turn, translate into putting this fantasy into action and engaging in these behaviors. However, a key feature of this need is that the individual be a stranger or unsuspecting.

Exhibitionism is the term most commonly used for the action of being nude and/or engaged in a sexual act for others to witness visually. The word also used in performing an act which one “shows off” a talent or feat. The act being pleasurable to the performer, viewer or both involved in the act.